Provider Demographics
NPI:1912271651
Name:ST.VINCENT HOSPICE & CARE, INC
Entity Type:Organization
Organization Name:ST.VINCENT HOSPICE & CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-666-1199
Mailing Address - Street 1:14349 VICTORY BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1950
Mailing Address - Country:US
Mailing Address - Phone:818-666-1199
Mailing Address - Fax:800-335-0548
Practice Address - Street 1:14349 VICTORY BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1950
Practice Address - Country:US
Practice Address - Phone:818-666-1199
Practice Address - Fax:800-335-0548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based